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Organization

S GENERATION CENTER INC

Active
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Organization

S GENERATION CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STELLA NSONG RN (PRESIDENT)
(440) 205-2222
Entity
Organization

Contact information

Practice address
8370 MUNSON RD, MENTOR, OH 44060-2409
(440) 205-2222
Mailing address
8370 MUNSON RD, MENTOR, OH 44060-2409
(440) 205-2222

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
106071003
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106071003
OHIO DEPARTMENT OF AGING (PASSPORT PROVIDER)
OH
Enumeration date
05/06/2009
Last updated
05/06/2009
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